Occurrence And Treatment Of Complications Of Endoscopic Retrograde Cholangiopancreatography

Objective: To investigate the occurrence of complications of diagnostic and therapeutic ERCP and its treatment.Methods: Occurrence and treatment of complications of diagnostic and therapertic ERCP were respectively reviewed in 306 cases in our hospital between December 2002 and December 2006.Results: 112 cases had complications.In diagnostic ERCP morbidity of earlycomplications was 31 and it was 91 in therapeutic group.Of them,acute hyperamylasemia occurrend in 69 cases, billiary infection 37 cases,bleeding of digestive tract 10 cases,stone and basket incarceration 2 cases,intestinal perforation 2 cases.Of them, patients were cured by conservative therapy.Operations were performed in 5 patients. 1 patient died.Conclusions: In diagnostic and therapeutic ERCP acute hyperamylasemia is the most frequent complication.The complications in therapeutic ERCP is more in diagnostic ERCP.Most of complications can be cured by conservative therapy,but a minority needs operation.